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Using bedside ultrasound, the investigators will examine gastric content in non-fasting patients assigned to rapid sequence intubation (RSI). The procedure will be done immediately before intubation. The percentage of non-fasting patients who actually have gastric content will be determined.
Identifying gastric content is critical because presence increases the risk of pulmonary aspiration during intubation.
Quantitative gastric content will be registered by measuring the cross section area of antrum using bedside ultrasound. The area and the patients age will be applied to estimate gastric volume.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Non-fasting patients | We will examine non-fasting patients using bedside ultrasound. First we examine the gaster in a supine position. Then we repeat the procedure in a right lateral position. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Bedside ultrasound | Other | Checking for gastric content using bedside ultrasound |
|
| Measure | Description | Time Frame |
|---|---|---|
| High risk of aspiration | Detection of solids, or more than 1,5 mL/kg clear fluid in the gaster | Immediately before intubation |
| Low risk of aspiration | Detection of empty stomach, or less than 1,5 mL/kg clear fluid in the gaster | Immediately before intubation |
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Inclusion Criteria:
Exclusion Criteria:
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Patients that are assigned to rapid sequence intubation are considered non-fasting. Reasons for considering a patient non-fasting are among others: intake of food the last six hours, nausea, anxiety, preoperative intake of painkillers or reflux disease.
The ultrasound method we are using, are only valid for this specific population.
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| Name | Affiliation | Role |
|---|---|---|
| Vegard Dahl, PhD | University Hospital, Akershus | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Akershus University Hospital | Lørenskog | Akershus | 1478 | Norway |
We have not planned to share data with other researchers.
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